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Home My WebLink About2011-00948 - roofing , CITY OF ORONO PERMIT NO.: 2011-00948 2750 KELLEY PARKWAY ' ORONO, MN 55356- DATE ISSUED: 08/29/2011 952 249-4600 FAX: 952 249-4616 ADDRESS : 770 NORTH ARM DR PIN : 06-117-23-43-0009 LEGAL DESC : AUDITOR'S SUBD.NO.362 : LOT 006 BLOCK 000 PERMIT TYPE : MINOR ALTERATIONS PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : ROOFING-ASPHALT ACTIVITY : O/S BUILDING-LJNDEFINED VALUATION : $ 9,000.00 NOTE: VALUATION OF PERMIT:$9000.00 ROOFING PERMITS ISSUED WITHOUT ENOUGH NOTICE FOR TEAR OFF INSPECTIONS. (WE REQUIRE 2448 NOTICE,PRIOR TO WORK BEING STARTED) MUST PROVIDE COMPLETE SET OF PICTURES OR A FINAL INSPECTION MAY NOT BE ISSUED. SIGNS-ADVERTISING SIGNS MAY ONLY BE ON THE PROPERTY DURING THE TIME THE ROOF IS BEING DONE. ONCE WORK IS COMPLETED THE SIGNS MUST BE REMOVED. APPLICANT pERMIT FEE SCHEDULE 177.00 NELSON ALEXANDER LTD STATE SURCHARGE(VALUATION) 4.50 2051 MELODY HILL RD EXCELSIOR,MN 55331- TOTAL 181.50 (612)790-8232 PAID WITH CC# 4845 Minnesota State License#:20524131 OWNER CARLSON,JEFFREY 770 NORTH ARM DR MOUND,MN 55364- AGREEMENT AND SWORN STATEMENT The work for which this permit is issued shall be performed according to the approved plans and specifications,applicable City approvals,and the State Building Code. This permit is for only the work described and does not grant permission for additional or related work which requires sepazate pertnits. All provisions of laws and ordinances governing this type of work shall be compied with whether or not specified herein.This permit will expire and become null and void if construction authorized is not commenced within 180 days of the date of issuance,or if construction is suspended for a period of 180 days at any time after work has commenced. The applicant is responsible r asswing all required inspections aze requested in conformance � i e S e Building Code.This permit may be revoked at an r • 2 � g, Z9, �� plican ermit ignat re Date Issue y Signature Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. � �� - � Cit of Orono � �� : Y `Z � . Building Permit Application for Maintenance / Renovation �� (windows, doors, siding, re-roof, etc.) � z` Mailing Address: a0 //—OG 9 � Permit number: � � _ O�,O,�O PO Box 66 �� Y�;: Crystal Bay, MN 55323-0066 Date received: 02 � �: ; � �! � �� Received b ,a a � � s, Sfreet Address: y� �' �„�q,, ti�' 2750 Kelle Parkwa '� o Y Y Plan review fee: �, '�9k �'�� Orono, MN 55356 �ESH� 7`�' � �I, SL/ � Total Fee: Main: 952-249-4600 Fax: 952-249-4616 www.ci.orono.mn.us � � This application form must be completed in full and all required information must be submitted. � t!.' � �.; Incomplete applications will be returned. (Please print) � GENERAL INFORMATION: � � Job Site Address: 7 7(� N . �`�{,��,�� , �C ,� �, Will this be a Parade of Homes, Remodelers S�wc�'se Home or other Display Home? ❑ Yes ❑ No � � lf yes, a special event permit is required with Pofice Departmenf and City Council approval 60 days prior to the event. Shuttle bus service will be �; required unless applicant demonstrates sufficient on-site parking is available. Non-permitted events will not be allowed. �'� +�; �' CONTRACTOR/APPLICANT INFORMATION: �`� ,y Name: (�P I�Y'�- �� 7.S_�v�t�@'( d� � € � State License# �� 1 Expiration Date: � � ' Lead Certification Number: � Expiration Date: � �� (for work on homes that were constructed prior to 1978 A" Phone: ��Z ��(� �'7�- (office) �f Z `7 1 O �2_�7 (cell) � Mailing Address: � Cit � ' ZIP: � �'�� 1��aj�� -(��( �a � v� F�c� i . ,�� Contact Person: ��,,.�,1 /�e�� Applicant is: Contractor�/ �Homeowner (Circle One) Email and/or Fax: 4�7 PROPERTY OWNER INFORMATION: l .� Name: : � �� 1� l S�I/`� � � Phone (day): ��.. ��'�� . Address: � �7C� l�). � 4� ,�'�L 'flc-J- City: C�0 ,l�Q ZIP: JJ �'� / ,� Email and/or Fax � �' � y� PROJECT INFORMATION: .� �;. Type of Project: Any earth movement may require i� �°`�° ❑ Door(s) ❑ Remodel MCWD review&permits: ;,��` ❑ Fire Damage Minnehaha Creek Watershed District(MCWD) y ,.: �" �Re-roof, asphalt ❑ Re air , p ❑ Storm Damage 18202 Minnetonka Blvd ❑ Re-roof, cedar ❑ Restoration ❑Water Damage Deephaven, MN 55391 �� ❑ Re-roof, other s ecif Phone: 952-471-0590 °� ( p y) ❑ Siding ❑ Other: (specify) Fax: 952-471-0682 ❑Window(s) www.minnehahacreek.orp � ` Overall Project Description: � Estimated Construction Valuation of Project(excluding land) $ �� APPLICANT ACKNOWLEDGEMENT: . Agrees to provide all information required or requested by the Building Department; � • Certifies that the information supplied is true and correct to the best of his/her knowledge. The applicant recognizes that they � are solely responsible for submitting a complete application being aware that upon failure to do so, the staff has no alternative � but to reject it until it is complete; "� • Some or all of the information that you are asked to provide on this application is classified by State law as either private or "� confidential. Private data is information which generally cannot be given to the public but can be given to the subject of the =� data. Confidential data is information which generally cannot be given to either the public or the subject of the data. Our purpose and intended use of this information is to annuall update our records and records of other governmental agencies re uired b law. If ou refuse to su I ti ,th a lication ma not be issued. A IicanYs Si nature: � � � � PP 9 _ _� � � Date: ?� � � � `,� -�---- � Last Updated: 08-09-2011 � r. , .,,_ � DATE TIME ✓ CI'TY OF ORONO CALLED IN INSPECTION NOTICE �/�t, SCHEDULED �''��,., PERMIT NO. e2b/l`O�D77b COMPLEfED �`i—�7'� ADDRESS___??d .�rtl� �r M Dr��c OWNER TELEPHONE NO. CONfTRACTOR �1PlSd� �/E��CGw,�cr L�, � DESCRIPTION � � ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FIWNG y ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WEfLANDS ❑ FRAMING ❑ MECHANICAL FINAL ❑ TREE REMOVAL e ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION ❑ RADON SLAB ❑ WATER HOOFC-UP ❑ PROGRESS � ❑ FINAL O SEWER HOOK-UP ❑ COMPLAINT � ❑ DEMO-SITE ❑ SEPTIC MAINT. �OLLOW-UP $ � DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL v ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNbAT10N/REMOVAL � OWNER/CONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: ^ � � *OLD PERMIT - NO FINAL INSPECTION REQUESTED. � � O � �v(/�5 G d- ��GC�G/1!!� Gtr4SG � O � � � � �!G � Y��!��/O�. .D/'Ov� � � Z � �0 f� �R',t�f ��o�t — � DQ/'M�� F..r�/� , J a W� ❑WORKSATiSFACTORY:PROCEED �R9dECT COMPLEfE W ❑GORRECT WORK 8�PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY � ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY � BEFORE COVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. p pHOTOTAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR ❑CITATION ISSUED O INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Cail forthe next inspection 24 hours in advance. (g52) 249-4600 OwnerlContractor on site: Inspector.�/»- � White Copyllnspector's File Canary CopylSite Notice �/�4T TIME � CITY F ORONO CALLED IN �L� �� INSPECTION NOTICE SCHEDULED � !� PERMIT NO.�l>� �—�U��COMPLETED ADDRESS � �O / V/�✓� L�i�(.�v 1 �� OWNER , E EPHONE NO. CONTRACTOR � �: DESCRIPTION �/L � � ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL � MECHANICAL RI ❑ LAKESHORE/WETLANDS y ❑ FRAMING ❑ MECHANICAL FINAL O ❑ TREE REMOVAL Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS � ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT � ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP _ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL J ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL � OWNER/CONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � W a J ' � ' ( ,� ` �� '� O � d� �� o w � Q � z W � W � j a W ❑WORKSATISFACTORY:PROCEED ❑ PROJECTCOMPLEfE � ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY W � �T.ORRECT WORK,CALL FOR REINSPECTION TEMPORARY � B�FORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. ❑ pHOTOTAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR � CITATION ISSUED ❑ INSPECTION REQUIRED.CALLTO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. �952� 249-4600 OwnerlContractor,on si e• — �� Inspector. � White Copy/lnspector's File Canary CopylSite Notice / / 1n �Q�, / / � �Q �v� �j D�I TIME �� CITY OF ORONO CALLED IN � � INSPECTION OTI E �J SCHEDULED �' PERMIT NO.�� ` � COMPLETED ADDRESS �� /v O r� �'rl �� OWNER TELEPHONE NO��Z ?�d �23� CONTRACTOR ,Nu S'�n � � DESCRIPTION /'" �� G�I.G�L � � ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICALRI ❑ LAKESHORENVETLANDS y ❑ FRAMING ❑ MECHANICAL FINAL Q ❑ TREE REMOVAL Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS � ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT � ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP _ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL J ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL � OWNERICONTRACTOR TO MEET YOU:_YES_NO c�., COMMENTS: � W a J � G �'G� k...J/'�/ �_ O a � O � W � Q � Z W � W � � d W� ❑WORK SATISFACTORY:PROCEED OJECT COMPLETE W ❑CORRECT WORK 8 PROCEED ❑ I E CERTIFICATE OF OCCUPANCY � ❑CORRECT WORK,CAIL FOR REINSPECTION TEMPORARY V BEFORE C�/ERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. p pHOTOTAKEN INSPECTOR WFLL REfURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED O INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Ca11 for the next inspection 24 hours in advance. (952) 249-4600 OwnerlContractor on site: Inspector. White Copyllnspector's File Canary CopylSite Notice